Related Experiment Video
Updated: Aug 19, 2026

A Protocol for Analyzing Hepatitis C Virus Replication
Published on: June 26, 2014
Management of Hepatitis C in HIV-infected Patients
Benigno Rodriguez1, David A Bobak
1Division of Infectious Diseases, University Hospitals of Cleveland, 2061 Cornell Road, Suite 401, Cleveland, OH 44106, USA. rodriguez.benigno@clevelandactu.org.
Insights
Hepatitis C virus (HCV) coinfection significantly impacts HIV patients, accelerating liver disease. Current treatments are suboptimal, prompting research into new therapies targeting novel molecular pathways.
Area of Science:
- Hepatology
- Infectious Diseases
- Immunology
Background:
- HIV survival has increased due to antiretroviral therapy.
- Hepatitis C virus (HCV) coinfection is a major cause of illness and death in HIV patients.
- HCV/HIV coinfection worsens liver disease and may affect HIV progression.
Purpose of the Study:
- To review the impact of HCV coinfection in HIV patients.
- To outline current management and antiviral treatment strategies.
- To discuss emerging therapies for HCV/HIV coinfection.
Main Methods:
- Review of major clinical trials for HCV treatment in coinfected patients.
- Analysis of current treatment guidelines and emerging therapeutic agents.
- Discussion of novel molecular targets for antiviral therapy.
Main Results:
- Pegylated interferon-alpha and ribavirin is the current standard of care for HCV/HIV coinfection.
- This regimen's effectiveness and tolerability are suboptimal, especially for genotype 1 HCV.
- Newer agents targeting novel molecular pathways are under development.
Conclusions:
- HCV coinfection poses significant challenges for HIV-infected individuals.
- Current treatment regimens require improvement for better outcomes.
- Emerging therapies offer promise for more effective management of HCV/HIV coinfection.
Abstract:
As the survival of HIV-infected patients has been lengthening over the past 10 years as a consequence of effective antiretroviral therapy, hepatitis C virus (HCV) coinfection has emerged as a major cause of morbidity and mortality in this population. HCV/HIV coinfection is associated with accelerated progression of liver disease, untoward effects on the immunologic and virologic response to antiretroviral medications, and possibly with a more aggressive course of HIV disease. The results of major trials of combination therapy for HCV in coinfected patients have clearly established the combination of pegylated interferon-alpha with ribavirin as the treatment of choice in this population. However, the effectiveness and tolerability of this regimen remains suboptimal, particularly in patients with genotype 1 HCV infection. This paper reviews the impact of HCV coinfection in HIV-infected patients, outlines current concepts on management and antiviral treatment, and discusses some of the newer agents, currently in the therapeutic pipeline, that are directed against novel molecular targets.
Related Concept Videos
Hepatitis
Retrovirus Life Cycles
Viral Hepatitis I: Introduction
Effect of Hepatic Disease on Pharmacokinetics: Drug Dosing and Hepatic Blood Flow
Esophageal Varices-II: Clinical Features and Management
In the initial assessment, a thorough review of the patient's medical history is vital to identify risk factors such as liver disease, alcohol abuse, or...
Inhibitors of Viral Protein Synthesis
